MedCity News September 15, 2023
Only actual hospital prices, displayed as dollars and cents, not estimates, formulas, or algorithms, protect patients from outrageous bills and hold hospitals accountable for overcharges, errors, and fraud. Accepting CMS’ or other substitutes instead of actual prices undermines broader efforts to make hospital price transparency a reality for American patients and healthcare consumers.
A recent Center for Medicare and Medicaid Services proposal weakens a federal hospital price transparency rule that took effect in January 2021 by entrenching and expanding hospitals’ use of cost estimates instead of actual prices.
The 2024 Outpatient Prospective Payment System proposal fails to close a loophole in the price transparency rule that allows hospital estimates. It also expands their use by requiring them for hospital price...
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